Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Grand Boulevard Health And Rehabilitation Center during CMS and state inspections, most recent first.
Unsafe and Unclean Facility Environment: Surveyors observed bowing ceiling tiles, peeling paint, AC vents dripping condensation, dust in vents, and leaks through ceiling tiles and light fixtures in common areas and hallways. Multiple rooms and bathrooms had stained floors, cracked walls, rusted fixtures, broken furniture, clutter, unlabeled hygiene items, and a foul sewage-like odor throughout the unit areas. The MDS and EVS/Maintenance leadership acknowledged long-standing HVAC, leak, and odor issues, with several AC units out of service and unresolved work orders.
Care plans were not reviewed and revised to match current assessments for two residents. One resident’s diabetes plan did not reflect new insulin coverage or therapy-documented declines in mobility and transfers, while another resident’s plan still included psychotropic-medication concerns despite no current antipsychotic orders and did not match observed non-ambulatory status, lack of prosthetics, and preference to remain in bed.
Failure to follow EBP during high-contact care. An LPN provided PEG tube care and urinary catheter/wound care using only gloves and hand hygiene, while a CNA could not find gowns near the rooms. Two residents with indwelling urinary catheters had no EBP signage or PPE posted outside their rooms, and one LPN stated she did not understand EBP. Record review showed active EBP orders and care plans for the residents.
A facility failed to assess a resident's capability to self-administer medications before allowing it. A resident was observed with a medicine cup containing pills on her over-bed table, and she reported that nurses sometimes leave medications without supervision. An LPN admitted to possibly leaving medications with the resident in error and was unsure if an evaluation for self-administration had been conducted. The resident's record lacked documentation on self-administration, despite a BIMS score indicating cognitive intactness. Facility policy requires a physician's order and team approval for self-administration.
The facility failed to ensure accurate MDS documentation for two residents. One resident's MDS incorrectly indicated facility-acquired pressure ulcers, while another's discharge MDS inaccurately stated a hospital discharge instead of hospice care. These discrepancies were confirmed by staff interviews, highlighting a failure to adhere to the facility's policy on certifying assessment accuracy.
Unsafe and Unclean Facility Environment
Penalty
Summary
The facility failed to maintain a clean, comfortable, and homelike environment for residents. During a tour, five ceiling tiles were observed bowing in one room, with warped and peeling paint above a wall-mounted air-conditioning unit. In the hallways near multiple rooms, AC vents were actively dripping condensation onto the floors while maintenance staff replaced ceiling tiles. Dust was also observed in vents in the main conference room and hallways, and a leak was noted in the common television area with water seeping through ceiling tiles and light fixtures. The Maintenance Director stated he was aware of ongoing condensation and AC issues throughout the building and was the only maintenance staff member for the facility. Review of the maintenance work-order log showed long-standing unresolved HVAC problems, including a rooftop AC unit on the 600 hall out of operation since 06/25/2024, an AC unit in the common area out of operation since 04/28/2025, lack of proper cooling in the laundry room since 06/12/2025, a rooftop unit in the rehabilitation gym out of operation since 11/10/2025, and a rooftop hallway AC unit in the 1000 area out of operation since 12/12/2025. Additional recent issues included an AC electrical problem and nine work orders related to ceiling tiles. The Administrator and Regional President stated they were aware of the ongoing AC issues and had correspondence requesting funding for repairs. The facility also had multiple rooms and bathrooms with unsanitary and poorly maintained conditions. Observations included unlabeled wash basins on the bathroom floor, one containing a urine-collecting toilet insert, dried brownish fluid on the wall, an uncovered toothbrush and uncapped toothpaste in a water pitcher, and other personal care items left unlabeled. In other rooms, surveyors observed stained bathroom flooring, cracked walls and flooring, rusted toilets and pipes, dirty tubs with used washcloths, broken furniture, clutter, debris, hanging lights, and brownish discoloration on ceiling tiles. A foul sewage-like odor was noted in the hallways and conference room throughout the survey, and staff interviews linked the odor to possible pipe leaks. The Environmental Services Manager and Maintenance Director both acknowledged ongoing leaks and other building issues, including leaks around AC returns and possible pipe-related odor, without identifying a repair plan during the interviews.
Care plans not updated to reflect current resident status
Penalty
Summary
The facility failed to review and revise care plans after comprehensive and quarterly assessments were completed for 2 of 2 residents reviewed. For Resident #9, the record showed a care plan for altered metabolic balance related to diabetes that was initiated on 12/13/2021 with a revision date of 07/26/2025, but the resident later began insulin coverage in April 2026 after elevated labs and blood sugars under the care of an endocrinologist, and this change was not reflected in the care plan. The resident also had a care plan for altered ADL function that stated the resident was independent with standby assist for transfers and ambulation with a walker or cane, with the last revision date of 07/26/2025, even though therapy notes from 12/19/2025 through 01/17/2026 documented a decrease in functional capacity, bilateral lower extremity strength, ambulation and transfer ability, and balance and coordination, and a later therapy evaluation documented the need for teaching adaptive techniques to promote safety awareness, minimize falls, increase lower extremity strength and range of motion, and decrease caregiver assistance. These changes were not reflected in the care plan. For Resident #4, the record showed a care plan for potential adverse side effects of psychotropic, antidepressant, and antianxiety medications that was initiated on 08/25/2025 and had no revision date beyond that date, even though current physician orders showed the resident was not prescribed antipsychotic medications at the time of the survey. Another care plan for altered ADL function stated the resident required staff assistance with bed mobility, transfers, dressing, eating, and personal hygiene due to decreased mobility and bilateral above-knee amputation, with interventions later added on 12/09/2025 for weight bearing as tolerated for bed mobility and weight bearing assist of 2 plus mechanical lift for all transfers. A separate fall-risk care plan noted unsteady gait and instructed staff to observe ambulation for steadiness, balance, muscle coordination, and ability to reposition and turn. During observations and interviews on 05/26/2026, 05/27/2026, and 05/28/2026, the resident was not able to ambulate, had no prosthetics available in the room, and stated a preference not to get out of bed most days. The Regional Nurse stated the MDS Coordinator was responsible for gathering data with the clinical team to ensure functional and cognitive abilities were accurate before annual or quarterly assessments, and acknowledged that the current care plans did not reflect the current care status of the two residents.
Failure to Follow Enhanced Barrier Precautions During High-Contact Care
Penalty
Summary
The facility failed to ensure appropriate infection control practices were followed for residents with Enhanced Barrier Precautions (EBP). For a resident with a PEG tube and an active physician order for EBP due to the risk of transmitting MDRO through the tube, an LPN was observed performing hand hygiene and donning gloves before PEG tube care, but no gown or mask was worn. The LPN later stated that EBP was required during high-contact activities such as PEG tube care, urinary catheter care, and wound care, and then acknowledged that the appropriate PPE had not been worn during the care. For two residents with indwelling urinary catheters, observations showed no EBP signage posted on the doors and no PPE available immediately near or outside either room. A CNA stated she would wear a gown and gloves for catheter care but could only locate gloves, not gowns, near the rooms. During care for one of the residents, an LPN provided urinary catheter and wound care while wearing only gloves and stated she was unaware of what Enhanced Barrier Precautions meant. She further stated she performed hand hygiene and only wore gloves when providing urinary catheter or wound care to residents. Record review showed both residents had active physician orders for EBP and care plans that included EBP interventions. The facility policy stated that EBP is used to reduce transmission of MDRO and requires targeted gown and glove use during high-contact resident care activities, including care for residents with wounds or indwelling medical devices such as urinary catheters and feeding tubes. The policy also stated that gowns and gloves should be made available immediately near or outside the resident's room.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that the interdisciplinary team assessed and determined a resident was capable of self-administering medications before allowing a resident to do so. During an observation, a medicine cup with four pills was found on the over-bed table of a resident, who stated that nurses sometimes leave medications at the bedside without watching her take them. A Licensed Practical Nurse (LPN) admitted to possibly leaving medications with the resident in error and was unsure if the resident had been evaluated for self-administration. The resident's electronic medical record lacked documentation regarding self-administration, although the resident was cognitively intact with a BIMS score of 15. The facility's policy requires a written order from the attending physician and approval from the Interdisciplinary Care Plan Team for a resident to self-administer medications.
Inaccurate MDS Documentation for Two Residents
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) accurately reflected the status of two residents. For Resident #57, the MDS indicated that the resident had two stage 2 pressure ulcers present upon admission or re-entry. However, a review of the weekly wound documentation revealed that these pressure wounds, located on the right heel and sacral area, were actually facility-acquired. This discrepancy was confirmed by the MDS Coordinator Registered Nurse during an interview. For Resident #83, the discharge MDS inaccurately stated that the resident was discharged to a short-term general hospital, while the record showed that the resident was discharged to hospice care and was never hospitalized. This error was acknowledged by the Registered Nurse Risk Manager during an interview. The facility's policy for Certifying Accuracy of the Resident Assessment, dated October 2010, requires all personnel who complete any portion of the Resident Assessment to sign and certify the accuracy of that portion. The inaccuracies in the MDS for both residents indicate a failure to adhere to this policy.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 8 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Miramar Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Manor At Blue Water Bay, The | 9.5 mi | ★★★★★ | 1 | 0 |
| Destination Health And Rehabilitation Center | 9.6 mi | ★★★★★ | 1 | 0 |
| Emerald Coast Center | 17.7 mi | ★★★★★ | 6 | 0 |
| Westwood Nursing And Rehabilitation Center | 19.9 mi | ★★★★★ | 0 | 0 |
| Fort Walton Rehabilitation Center, Llc | 20.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Grand Boulevard Health And Rehabilitation Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.